This stunning handmade piece is made with genuine sem-precious stones, detailed glass beads, and sterling silver components. A portion of the proceeds will be donated to Magen David Adom Israel. This handmade bracelet is available in small (7ƒ??) and large (8ƒ??). To determine your size, measure your wrist with a string and add ?? to 1 ?¬ inches. Bracelet gems may vary slightly depending on availability.